Superior Mesenteric Artery Syndrome in association with Abdominal Tuberculosis: An Eye Opener
- Author:
Shuchi Bhatt
;
Biswajit Mishra
;
Anupama Tandon
;
Smita Manchanda
;
G Parthsarathy
- Publication Type:Case Reports
- Keywords:
superior mesenteric artery syndrome;
Wilkie’s syndrome;
mesenteric root syndrome;
intermittent
- From:Malaysian Journal of Medical Sciences
2017;24(3):96-100
- CountryMalaysia
- Language:English
-
Abstract:
Superior Mesenteric Artery Syndrome (SMAS) is a rare clinical entity presenting as
acute or chronic upper gastrointestinal obstruction. It occurs due to compression of third part
of duodenum between abdominal aorta and overlying superior mesenteric artery caused by a
decrease in angle between the two vessels. Rapid loss of retroperitoneal fat, in conditions leading
to severe weight loss is the main factor responsible for this disorder. Superior mesenteric artery
syndrome in association with abdominal tuberculosis has not been reported earlier to the best of
our knowledge. Therefore, an unknown cause (SMAS) of upper gastrointestinal obstruction in a
patient of abdominal tuberculosis is being presented for the first time through this case report.
An imaging diagnosis of SMAS was made on contrast enhanced CT abdomen which also confirmed
the clinical suspicion of abdominal tuberculosis in the patient. The patient was managed
conservatively and recovered without requiring any surgical intervention for the obstructive
symptoms.
- Full text:P020170717390409473775.pdf
